Document Detail

Importance of preoperative assessment of pulmonary venous anomaly for safe video-assisted lobectomy.
MedLine Citation:
PMID:  20332219     Owner:  NLM     Status:  MEDLINE    
During the treatment of 86 patients with video-assisted thoracoscopic surgery (VATS) anatomical resection (include segmentectomy) within the last two years, we have encountered five patients (5.8%) with anomalous venous returns. Anomalous returns included: 1) common trunk of the left pulmonary vein; 2) right middle pulmonary vein (V4) draining into the inferior pulmonary vein (IPV); 3) left lingular vein (V4+5) draining into the IPV; 4) right posterior pulmonary vein (V2) draining directly into the left atrium; and 5) left upper lobe vein draining into the left innominate vein. If a surgeon were to perform VATS lobectomy without paying attention to these anomalies according to the affected lobe, serious surgical complications might result. Multi-detector row angiography is useful for recognizing such anomalies before surgery and allow safe VATS lobectomy.
Shunsuke Yamada; Atsushi Suga; Yoshimasa Inoue; Masayuki Iwazaki
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-23
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  10     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-18     Completed Date:  2010-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  851-4     Citation Subset:  IM    
Department of Thoracic Surgery, Tokai University Hachioji Hospital, 1838 Isikawa, Hachioji, Tokyo 192-0032, Japan.
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MeSH Terms
Middle Aged
Pneumonectomy / adverse effects,  methods*
Preoperative Care
Pulmonary Veins / abnormalities*,  radiography
Thoracic Surgery, Video-Assisted* / adverse effects
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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